Director, Specialty Pharmacy and Payer Accounts
GSK
August 24, 2026
On-site
Durham, NC
Market Access
Market Access Enterprise Account Director (Specialty Pharmacy & Payer)
Responsibilities:
- Own payer (health plan) commercial account relationships; engage pharmacy/medical leadership on formulary tier positioning, prior authorization, step therapy, and coverage policy.
- Monitor/respond to health plan coverage decisions (formulary, utilization management, clinical policy) and coordinate rapid responses.
- Drive specialty pharmacy (SP) pull-through performance: manage account relationships and performance scorecards (time-to-fill, dispense rates, hub handoff quality, patient persistence, REMS compliance) across SP partners.
- Translate payer access outcomes into SP pull-through priorities; connect SP performance gaps back to upstream payer access barriers.
- Coordinate enterprise messaging alignment.
- Lead regular business reviews; present portfolio performance data and align on pull-through initiatives.
- Build/maintain segment-level dashboards (formulary access status, SP dispense performance, co-pay utilization, patient access metrics).
- Identify/escalate access failures (PA denials, step therapy barriers, SP dispensing gaps) with root cause analysis and recommended responses.
Qualifications:
Required: Bachelor’s degree; 10+ years pharmaceutical commercial experience; 4+ years payer access managed care account management or specialty pharmacy channel management; experience managing health plan/managed care accounts; experience managing specialty pharmacy accounts and driving SP pull-through against scorecards.
Preferred: MBA/advanced degree; Director-level managed care/specialty experience at pharma/biotech; ability to link payer strategy to SP execution; strong cross-functional/enterprise track record; strong analytical skills; oncology/specialty experience; familiarity with REMS, LDD products, and specialty benefit channel mechanics.
Skills: Account management; cross-functional work; data to insights; digital fluency; omnichannel; scientific literacy.
Application: Submit resume and a brief note describing a payer or specialty pharmacy negotiation you led and the impact delivered.
Responsibilities:
- Own payer (health plan) commercial account relationships; engage pharmacy/medical leadership on formulary tier positioning, prior authorization, step therapy, and coverage policy.
- Monitor/respond to health plan coverage decisions (formulary, utilization management, clinical policy) and coordinate rapid responses.
- Drive specialty pharmacy (SP) pull-through performance: manage account relationships and performance scorecards (time-to-fill, dispense rates, hub handoff quality, patient persistence, REMS compliance) across SP partners.
- Translate payer access outcomes into SP pull-through priorities; connect SP performance gaps back to upstream payer access barriers.
- Coordinate enterprise messaging alignment.
- Lead regular business reviews; present portfolio performance data and align on pull-through initiatives.
- Build/maintain segment-level dashboards (formulary access status, SP dispense performance, co-pay utilization, patient access metrics).
- Identify/escalate access failures (PA denials, step therapy barriers, SP dispensing gaps) with root cause analysis and recommended responses.
Qualifications:
Required: Bachelor’s degree; 10+ years pharmaceutical commercial experience; 4+ years payer access managed care account management or specialty pharmacy channel management; experience managing health plan/managed care accounts; experience managing specialty pharmacy accounts and driving SP pull-through against scorecards.
Preferred: MBA/advanced degree; Director-level managed care/specialty experience at pharma/biotech; ability to link payer strategy to SP execution; strong cross-functional/enterprise track record; strong analytical skills; oncology/specialty experience; familiarity with REMS, LDD products, and specialty benefit channel mechanics.
Skills: Account management; cross-functional work; data to insights; digital fluency; omnichannel; scientific literacy.
Application: Submit resume and a brief note describing a payer or specialty pharmacy negotiation you led and the impact delivered.